device for coupling an artificial tooth to a jawbone of a patient, the device including a dental implant, and a deformably removable nut, the dental implant including a threaded bone engaging portion, for engaging the dental implant with the jawbone, and a threaded assembly stage portion, for enabling screwing of the dental implant into the jawbone, and for coupling the artificial tooth with the jawbone, the deformably removable nut including a plurality of engagement features, and a nut disintegration feature, the engagement features enabling engagement of the nut with a tool, for screwing the nut on the dental implant, and for further screwing the dental implant in the jawbone, with the aid of the nut, the nut disintegration feature enabling removal of the nut from the dental implant, without unscrewing the nut from the threaded assembly stage portion.
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1. A device for coupling an artificial tooth to a jawbone of a patient, the device comprising:
a dental implant comprising:
a threaded bone-engaging portion, for engaging said dental implant with said jawbone; and
a threaded assembly-stage portion, for enabling screwing of said dental implant into said jawbone, and for coupling said artificial tooth with said jawbone; and
a deformably removable nut comprising:
a plurality of engagement features to enable engagement of said nut with a tool, for screwing said nut on said dental implant, and for further screwing said dental implant in said jawbone, with the aid of said nut; and
a nut-disintegration feature to enable removal of said nut from said dental implant, without unscrewing said nut from said threaded assembly-stage portion.
28. A device for coupling an artificial tooth to a jawbone of a patient, the device comprising:
a dental implant comprising:
a threaded bone-engaging portion, for engaging said dental implant with said jawbone; and
a threaded assembly-stage portion, for enabling screwing of said dental implant into said jawbone, and for coupling said artificial tooth with said jawbone; and
a deformably removable nut comprising:
a plurality of engagement features to enable engagement of said nut with a tool, for screwing said nut on said dental implant, and for further screwing said dental implant in said jawbone, with the aid of said nut; and
a nut-disintegration feature to enable removal of said nut from said dental implant, without unscrewing said nut from said threaded assembly stage portion; and
an artificial tooth coupler having an internal thread compatible with said threaded assembly-stage portion, said artificial tooth coupler being coupled to said dental implant, by screwing said artificial tooth coupler on said threaded assembly-stage portion, said artificial tooth coupler having a protruding portion, for coupling said artificial tooth thereto.
2. The device according to
3. The device according to
4. The device according to
5. The device according to
6. The device according to
7. The device according to
internal; and
external.
8. The device according to
groove;
notch;
polygonal depression;
perforated line in a wall of said deformably removable nut;
hole; and
slit.
9. The device according to
10. The device according to
11. The device according to
12. The device according to
13. The device according to
14. The device according to
15. The device according to
wherein a disintegration wall thickness defined by a nut material between said nut-disintegration feature and an outer wall of said deformably removable nut, is thinner than a nut wall thickness defined between said internal thread and said outer wall.
16. The device according to
wherein a disintegration wall thickness defined by a nut material between said nut-disintegration feature and an outer wall of said deformably removable nut, is thinner than a nut wall thickness defined between said internal thread and said outer wall.
17. The device according to
chemical substance which dissolves the material of said deformably removable nut; and
heat.
18. The device according to
19. The device according to
20. The device according to
21. The device according to
a finely threaded portion located at an implant proximal end of said threaded bone-engaging portion; and
a coarsely threaded portion located at an implant distal end of said threaded bone-engaging portion.
22. The device according to
23. The device according to
24. The device according to
a primary thread which runs along said finely threaded portion, and said coarsely threaded portion; and
a plurality of secondary threads which run along said finely threaded portion,
wherein a coarse thread height of said primary thread, is greater than a fine thread height of each of said secondary threads,
wherein a coarse pitch value of a coarse pitch of said primary thread, is substantially equal to a fine pitch value of a fine pitch of each of said secondary threads,
wherein each of said secondary threads runs in a direction substantially parallel with that of said primary thread, at an offset whose value is substantially equal to a quotient of said fine pitch value, and a sum of the quantity of said secondary threads, and tile numerical value of one,
wherein a primary thread angle value of said primary thread, is substantially equal to a secondary thread angle value of each of said secondary threads,
wherein a crest distance value of a crest distance between every adjacent pair of a plurality of crests of said primary thread and each of said secondary threads, along a threaded bone-engaging longitudinal axis of said threaded bone-engaging portion, is substantially equal to half of said fine pitch value,
wherein said secondary threads include an intermediate screw turn, located between said secondary threads and said primary thread, and
wherein an intermediate major diameter value of an intermediate major diameter of said intermediate screw turn, gradually reduces from a coarse major diameter value of a coarse major diameter of said primary thread, to a coarse minor diameter value of a coarse minor diameter of said primary thread.
25. The device according to
26. The device according to
27. The device according to
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This application is a national stage application under 35 U.S.C. §371 of PCT/IL2007/001418, filed Nov. 14, 2007, and published as WO 2008/059507 A1 on May 22, 2008, which claims priority under 35 U.S.C. §119 to U.S. application Ser. No. 60/859,349, filed Nov. 15, 2006, which applications and publication are incorporated herein by reference and made a part hereof in their entirety.
The disclosed technique relates to medical devices in general, and to dental implants, in particular.
Methods for implanting artificial teeth are known in the art. The incisors of the upper jaw (i.e., the upper jaw incisors) articulate with those of the mandible (i.e., the mandibular incisors). In a normal human being the upper jaw incisors and the mandibular incisors usually protrude at an oblique angle relative to both the upper jaw and the mandible, respectively. Following is a description of an exemplary method for implanting an artificial incisor, as known in the art.
The dental surgeon employs a dental screw, an angled abutment, and a fastening screw. The angled abutment is slanted with respect to the dental screw, in order to match the inclination of the neighboring teeth (which are slanted with respect to the jawbone), while the dental screw is to be aligned with the jawbone. In this manner, the inclination of the artificial incisor is matched with that of the anatomical incisor, and proper articulation of the artificial incisor with the adjacent incisors is provided. The dental screw has an external thread at one end thereof, for screwing into the jawbone. The other end of the dental screw has a hexagonal depression and an internal thread whose major diameter is smaller than the width of the hexagonal depression. The abutment has a hexagonal protrusion at one end thereof, and a through hole which passes through the hexagonal protrusion. The hexagonal protrusion of the abutment matches the hexagonal depression in the dental screw. The dental surgeon screws the dental screw in the jawbone, aligns the angled orientation of the abutment relative to the adjacent angled teeth when inserting the hexagonal protrusion in the hexagonal depression, and fastens the abutment to the dental screw by screwing the fastening screw in the internal thread of the dental screw, through the hole of the abutment. The dental surgeon, then assembles or fastens the artificial incisor, which has a blind hole therein, to the abutment, such as by an adhesive.
The method described herein above is applicable to cases in which the major diameter of the dental screw is approximately 3.75 mm or larger (i.e., relatively thick upper jaw bones or mandibles). Employment of a dental screw having a major diameter of less than 3.75 mm is either impractical or unsafe, because the wall thickness of the dental screw in the region of the internal thread is not sufficient to provide the mechanical strength necessary to fasten the abutment to the dental screw, lest ensuring long term use of the artificial incisor by the patient.
It is an object of the disclosed technique to provide a novel method and system for implanting an artificial tooth.
In accordance with the disclosed technique, there is thus provided a device for coupling an artificial tooth to a jawbone of a patient. The device includes a dental implant, and a deformably removable nut. The dental implant includes a threaded bone-engaging portion, for engaging the dental implant with the jawbone, and a threaded assembly-stage portion, for enabling screwing of the dental implant into the jawbone, and for coupling the artificial tooth with the jawbone. The deformably removable nut includes a plurality of engagement features, and a nut-disintegration feature.
The engagement features enable engagement of the nut with a tool, for screwing the nut on the dental implant, and for further screwing the dental implant in the jawbone, with the aid of the nut. The nut-disintegration feature enables removal of the nut from the dental implant, without unscrewing the nut from the threaded assembly-stage portion.
The disclosed technique will be understood and appreciated more fully from the following detailed description taken in conjunction with the drawings in which:
The disclosed technique overcomes the disadvantages of the prior art by providing a dental implant having an external thread, and a deformably removable nut for implanting the dental implant in a jawbone of a patient. The nut includes one or more external grooves cut on an external wall thereof, thereby reducing the thickness of the wall there along, for facilitating deformation of the nut and enabling its removal from the dental implant, without unscrewing the nut from the dental implant. Unscrewing of the nut from the dental implant may also exert unscrewing torque on the dental implant, which can dislodge the dental implant from the jawbone. In an embodiment of the disclosed technique, the nut features one or more internal grooves cut in proximity to the external grooves, on a periphery of the nut wall, thus further reducing the thickness of the wall along the grooves. In other words, the internal grooves and the external grooves are located at such proximity to one another, that the wall thickness of the nut between each pair of the internal groove and the external groove, is smaller than that between the inner wall and the periphery. This relatively small wall thickness enables fracturing and removal of the nut from the external thread of the dental implant, without necessitating the unscrewing of the nut.
For example, by shattering the nut with the aid of a pointed tool which fits the external nut-disintegration features, or by breaking the nut at one of the external nut-disintegration features with the aid of the pointed tool, and opening apart the nut. The nut further includes a plurality of engagement features for screwing the nut on the external thread of the dental implant, with the aid of a nut screwing tool.
The external thread of the dental implant includes a bone engaging portion and an assembly stage portion. A dental surgeon screws the nut on the assembly stage portion until the nut stops turning before reaching the bone engaging portion. The dental surgeon continues to turn the nut in the same direction, to screw the bone engaging portion of the dental implant in the jawbone, and to implant the dental implant in the jawbone. The dental surgeon removes the nut from the assembly stage portion, by breaking it, and screws an artificial tooth coupler having an internal thread, on the assembly stage portion. The dental surgeon can fasten an artificial tooth to the artificial tooth coupler, for example by employing an adhesive, tightening means, and the like.
Reference is now made to
With reference to
With reference to
Each of internal nut-disintegration feature 114 and external nut-disintegration feature 116 runs from a distal end of deformably removable nut 104, to a proximal end thereof, substantially along a longitudinal axis 120 of deformably removable nut 104. Alternatively, each of internal nut-disintegration feature 114 and external nut-disintegration feature 116 runs from the distal end to the proximal end, along an axis inclined to longitudinal axis 120.
The nut-disintegration feature can be implemented in various forms. For example, in case the deformably removable nut is made of a polymer (e.g., plastic, Nylon, Teflon®), the deformably removable nut can be disintegrated and removed from the assembly stage portion, by applying a chemical substance which reacts with the deformably removable nut, and partially or entirely dissolves the deformably removable nut. Alternatively, the plastic deformably removable nut can be disintegrated by applying heat for example, by employing a heat probe, laser beam, and the like.
Internal thread 112 is inclined from longitudinal axis 120, by an angle β, where β is approximately equal to α (
It is noted that if the flat-tipped object is inserted into external nut-disintegration feature 116, internal nut-disintegration feature 114 can be eliminated, as long as the wall thickness along external nut-disintegration feature 116 is sufficiently small, in order to cause the breakage of deformably removable nut 104, with the aid of the flat-tipped object. Alternatively, external nut-disintegration features 116 can be eliminated if internal nut-disintegration features 114 are to be employed for the entering of a compatible pointed object that is customized for the breaking of the thin wall along internal nut-disintegration features 114 (for example, by the twisting of the pointed object against the sides of a internal nut-disintegration feature 114, or by the pulling apart of two opposing objects inserted in two opposing external nut-disintegration features 116, and the like).
Further alternatively, the deformably removable nut can include a plurality of internal nut-disintegration features and external nut-disintegration features, in form of longitudinal depressions, as described herein below in connection with
With reference to
With reference to
With reference to
When deformably removable nut 104 is screwed up to stop portion 126, deformably removable nut 104 can not be screwed any further on assembly stage portion 108. The dental surgeon, then screws bone engaging portion 106 in the jawbone, by employing deformably removable nut 104 and the screwing tool. In this manner, the dental surgeon implants dental implant 102 in the jawbone. The dental surgeon disengages deformably removable nut 104 from assembly stage portion 108, by employing the pointed tool, as described herein above.
With reference to
Dental implant 102 includes an assembly stage portion 108 which is in form of an external thread, rather than an internal thread, for engaging dental implant 102 with artificial tooth coupler 124. It is noted that such a configuration allows employment of a dental implant, which has a bone engaging portion, having a major diameter smaller than in the case of a bone engaging portion in form of an internal thread, but a larger thread length. This feature enables implant of a relatively small diameter dental implant (e.g., smaller than 3 mm), in a relatively thin jawbone.
It is further noted that inclination angle α from longitudinal axis 110 (
Reference is now made to
With reference to
Coarsely threaded portion 210 includes a distal end 202, which is an optional feature in form of a truncated cone tapering at an angle of θ, in order to facilitate self tapping of dental implant 200 into the jawbone of the patient. The screw thread along coarsely threaded portion 210 continues up to distal end 202. Distal end 202 is particularly short in order to avoid reduction of bonding area when dental implant 200 is subject to dislodging forces, and can be entirely eliminated, if such self tapping facilitation is redundant.
Finely threaded portion 208 has a minor diameter D3 (
The value of major diameter D1 is between 3.75 and 4.6 mm. The value of constant pitch P is between 1 and 1.3 mm. Primary thread 212 has a coarse thread height (not shown) in coarsely threaded portion 210, and a fine thread height (not shown) in finely threaded portion 208, wherein the coarse thread height is larger than the fine thread height. The value of the fine thread height is between 0.4 and 0.7 mm. The value of the coarse thread height is between 1 and 1.4 mm.
The coarse thread height defines a small minor diameter D2 respective of primary thread 212. The fine thread height defines a large minor diameter D3 respective of each of secondary threads 214, wherein
D3>D2 (1)
It is noted that the greater the difference between major diameter D1 and each of minor diameters D2 and D3, respectively, the greater is the thread height and the greater is the contact surface between dental implant 200 and the jawbone. This substantially large contact surface, has a significant role in resisting the tensile forces and the moments, which act on dental implant 200 especially during mastication. Therefore, this contact surface should be as large as possible.
In order to avoid moments and tensile forces which can damage dental implant 200 during the screwing operation within the jawbone, the pitch of each of secondary threads 214, substantially equals to pitch P of primary thread 212. Each of secondary threads 214 runs parallel to the primary thread 212, along finely threaded portion 208, at an offset. This offset equals to P/(n+1), where n=1,2,3 . . . N is the quantity of the secondary threads 214, which are manufactured in finely threaded portion 208. In case there is only one secondary thread 214, n=1, the offset equals to half of the pitch P.
Preferably, a thread angle φ of primary thread 212 (i.e., primary thread angle) is substantially the same as that of each of secondary threads 214 (i.e., secondary thread angle), although the primary thread angle and the secondary thread angle can be different. Each of the primary thread angle and the secondary thread angle is an acute angle of less than 45 degrees, and preferably 30 degrees. Primary thread 212 is represented by a plurality of crests 216. Each of secondary threads 214 is represented by a plurality of crests 218. The distance between every adjacent pair of crests 218 and 216 along a longitudinal axis 220 of dental implant 200, substantially equals to P/2. Secondary thread 214 ends with an intermediate screw turn 222, whose major diameter gradually reduces from D1 to D3. Alternatively, the major diameter of intermediate screw reduces from D1 to D2.
The jawbone (i.e., either the mandible or maxilla) of the patient includes a cortical bone below the gingiva, and a cancellous (spongy) bone below the cortical bone. The cortical bone is a substantially compact and solid bone, whereas the cancellous bone is porous and includes voids (similar to a sponge), and is not as strong as the cortical bone. Therefore, when a screw is tapped into the cortical bone and the cancellous bone of the jawbone, an upper portion of the screw which is located in the cortical bone, provides significant bonding that carries most of the load, while the lower portion of the screw which is located in the cancellous bone provides bonding of lesser significance.
The proof strength of a bolt which is tightened into a nut, in terms of tension and torque, is proportional to the stress area (i.e., the total surface area of those screw threads of the bolt which are in contact with the screw threads of the nut). Therefore, the greater the stress area, the greater the tensile load and the torque which the bolt can carry. The disclosed technique employs a screw whose coarsely threaded portion 210, which is located in the cancellous bone, has a stress area which is greater than that of finely threaded portion 208, which is located in the cortical bone. As the dental surgeon screws dental implant 200 into the jawbone, dental implant 200 compresses the cancellous bone surrounding the coarsely threaded portion of dental implant 200, thus strengthening the anchoring of dental implant 200 to the jawbone and expediting bone growth around dental implant 200. Therefore, the screw thread profile according to the disclosed technique provides a dental implant which has a proof strength substantially greater than that of a dental implant whose screw thread is uniform.
According to formula (1), minor diameter D2 is smaller than minor diameter D3. Therefore, the stress area of coarsely threaded portion 210 is greater than that of finely threaded portion 208. It is noted that the large thread height of primary thread 212 is larger than that of each of secondary threads 214. It is further noted, that since the pitch of primary thread 212 is substantially the same as that of each of secondary threads 214, after tapping a thread in the cortical bone by primary thread 212, each of secondary threads 214 carves and thus taps into a screw thread in parallel to the one formed by primary thread 212, in the cortical bone.
Dental implant 200 can include one or more longitudinal grooves (not shown), on a periphery thereof, disposed along longitudinal axis 220. Each of the longitudinal grooves can be located either on primary thread 212, each of secondary threads 214, or both primary thread 212 and secondary threads 214. While the dental surgeon screws dental implant 200 into the jawbone, bone particles which are produced due to the screwing action of primary thread 212 and secondary threads 214 into the jawbone, are deposited in the longitudinal grooves. In this manner, the longitudinal grooves serve as a depository for the bone particles. During the healing process, bone cells grow into the longitudinal grooves. Therefore, the longitudinal grooves provide an anchoring function in addition to that provided by primary thread 212 and secondary threads 214.
Reference is now made to
With reference to
With reference to
The dental surgeon follows the same procedure as that described herein above in connection with
It will be appreciated by persons skilled in the art that the disclosed technique is not limited to what has been particularly shown and described hereinabove. Rather the scope of the disclosed technique is defined only by the claims, which follow.
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